# MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sistersville General Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508465162
- **Authorized official:** PAUL WESTBROCK (VP, LEGAL AFFAIRS)
- **Authorized official phone:** (740) 374-1581

## Contact information

- **Practice address:** 100 FAIR ST, MIDDLEBOURNE, WV 26149-9525
- **Practice address phone:** (304) 758-5000
- **Practice address fax:** (304) 758-5022
- **Mailing address:** C/O PAUL WESTBROCK, 314 S WELLS ST, SISTERSVILLE, WV 26175
- **Mailing address phone:** (304) 652-2611
- **Mailing address fax:** (304) 652-1448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2020
- **Last updated:** 05/07/2021